Laserfiche WebLink
I�OLOG <br />TECHNOLOGY FOR TANKS <br />VacuTect`rm TEST REPORT <br />AND THEIR ENVIRONMENT <br />Owner QUICK STOP Site # J ` 5 <br />Invoice Name/Address USTMAN INDUSTRIES, INC. 1.2265 W. BAYAND AVE. #110 LAKEWOOD, CO 80228 <br />Site Name/Address QUICK STOP 1580 W. MAIN RIPON. CA <br />S.O. # <br />105475 <br />Date <br />05/C 1'. 94 <br />Phone <br /><800> '253-8054 <br />Attn: <br />BRUCE McCUFFY <br />TANKS <br />LINES <br />Leak Det <br />Ullage <br />TANKS and LINES Tested to CFR -40 Parts <br />See <br />Tank <br />Dipped <br />Dipped Probe <br />Water <br />Bubble Air <br />Line <br />Final <br />Exist <br />280-281 & NFPA 329 Spec's. <br />Diag. <br />Dia. & <br />Water <br />Product Water <br />Ingress <br />Ingress Ingress <br />TANK <br />Line <br />Delivery <br />LINE <br />LINE <br />Leak <br />LINE <br />LD(s) <br />NEW <br />Material <br />Level <br />Level Level <br />Detected <br />Detected Detected <br />■0 <br />Material <br />Syst. Type <br />TEST <br />TEST <br />Rate <br />■ <br />Pass/ <br />LD(s) <br />ST/ <br />■ <br />■ ■ <br />■ <br />■ ■ <br />Tight <br />■ <br />■ <br />■ <br />■ <br />■ <br />Tight <br />Fail/ <br />Tested <br />FRP/ <br />START <br />START START <br />or <br />ST/ <br />START <br />END <br />or <br />or <br />& <br />Other: <br />Tank <br />Tank <br />Tank <br />Lined <br />END <br />END END <br />Yes/No <br />Yes/No Yes/No <br />Fail <br />Line # <br />FRP <br />PS/SS/GS <br />.: <br />TIME <br />TIME <br />GPH <br />Fail <br />NONE <br />PASS <br /># <br />Product <br />Capacity <br />- <br />Diameter <br />Exist LD SN/MDL/MFG: - ` <br />NL <br />_ <br />_ <br />New/2nd LD SN/MDL/MFG: <br />°� <br />w r <br />` '� <br />s <br />�"j <br />LINE TEST PSI " " <br />Material <br />erCant O Fill at <br />Start Time: Time of Test: <br />Pump <br />Mfg.: <br />�� <br />Dispenser shear valves Y <br />Tank robe Inclinometer <br />End Time: Test PSI: Entry: De re s: <br />o eratees/no <br />Diameter <br />' <br />Zk <br />�' <br />777 <br />77 <br />�' <br />Exist LD SN/MDL/MFG: - <br />{ <br />New/2nd LD SN/MDL/MFG: <br />�. <br />' mi <br />;. <br />z <br />c �.,, <br />(j <br />LINE TEST PSI "' " <br />eteria <br />erCent O I at Pump <br />Start Time: Time of Test: Mfg.: <br />"" " <br />Dispenser Shear Valves Y <br />O Probe nC lnometer <br />End Time: Test PSI: Entry: De reel: <br />Operate es/no <br />Diameter <br />�'. <br />- <br />ExistL.SN/MDL/MFG: <br />UNL <br />New/2nd LD SN/MDL./MFG: <br />LINE TEST PSI 50 00 <br />atenal <br />TIFF -35-7-5711751: ump <br />Start Time: Time of Test:Mf .. <br />Dispenser Shear Valves y <br />an r0 a nC mometer <br />End Time: Test PSI: Ent D reel: <br />Operate es/no <br />Diameter <br />Exist LD SN/MDL/MFG <br />New/2nd LD SN/MDL/MFG: <br />LINE TEST PSI <br />atertal <br />Percent O Fill of —rump <br />Start Time: Time of Test: Mfg.:,, <br />Dispenser Shear valves <br />an be inclinometer <br />End Time: Test PSI: Ent : D r <br />Operate es/no <br />lameter <br />t + _ `.' <br />'- <br />� k� <br />Exist 0 SN/MDL/MFG: <br />New/2nd LD SN/MDL/MFG: <br />:- -__ <br />_. <br />Material <br />erCent l at ump <br />T1.751 <br />Start Time: Time Of Mfg.: <br />s, �`^ <br />" <br />LINE TEST PSI: <br />lanK Pbe Inclinometer <br />Dispenser Shear Valves <br />End Time: Test Ent : r <br />Oeste es/no <br />ria—meter <br />xs <br />Exist LD SN/MDL/MFG: <br />New/2nd LD SN/MDL/MFG: <br />LINE TEST PSI: <br />-P—atenar <br />Percent of FillatIjump <br />Start Time:. Time of Test: Mfg.. <br />" <br />Dispenser Shear valves <br />an robe Inclinometer <br />End Time: T t PSI: Der s: <br />Oeste es/no <br />TANKNOLOGY Region: WESTERNREC ION Unit* ` ' State Lic. # State: CA <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. <br />TAK-01 <br />Tanknology Corporation International <br />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 • FAX (713) 690-2255 <br />